Health Promotion: Theory & Practice Prof. Dr. Edwin van Teijlingen

Determinants of Health Evans & Stoddart

Dahlgren and Whitehead model

5 Health Promotion Actions Developing public policy. Developing personal skills. Strengthening community action. Creating supportive environments. Reorienting health services

Health promotion approaches Medical or preventive Behaviour change Educational Empowerment Social change

Psycho-social theories of behaviour change Health Belief Model Theories of Reasoned Action/ Planned Behaviour Social Learning/Cognative Theory Transtheoretical (Stages of Change) Model

Health Belief Model Rosenstock “an individual is likely to take action related to a given health problem based on the interaction between four different types of belief.” Nutbeam 1999

Health Belief Model (Nutbeam 1999) .

Theory of Reasoned Action Attitude Personal beliefs about value of behavior Subjective norms Social environments value on behavior Behavioral Intention Combination of both, predicts behavior The two concepts of this theory are attitude and subjective norms. The theory of Reasoned Action says that attitude towards a behavior and subjective norms are the two main predictors of behavioral intention. Attitude refers to the individuals beliefs about the value equated with doing a behavior. The subjective norm refers to the importance an individual puts on what other people value. The behavioral intention is the combination of the two and predicts actual behavior.

Example Theory of Reasoned Action The validity of the behavioral intention is based upon the commonality between the measure of intention and behavior.

Health Belief Model Rosenstock “an individual is likely to take action related to a given health problem based on the interaction between four different types of belief.” Nutbeam 1999

Health Belief Model (Nutbeam 1999) .

Health promotion approaches Medical or preventive Behaviour change Educational Empowerment Social change

Social Learning Theory Built on understanding of the interaction of the individual and his/her environment. Taken as a whole, it provides insight into approaches to improve individuals’ knowledge and skills to act to improve their health. It explicitly identifies the importance of social norms and cues, and environmental influences on health behaviour.

Social Learning Theory Environment Behaviour Personal Cognitive Factors